Veterinary science / 1.
Veterinary medicine
Types of the animal thyroid gland diseases
Master of veterinary sciences Raketsky V.A.
Kostanay state university of A.Baytursynov, Kazakhstan
Fundamentally,
every thyroid gland autoimmune disease is due to the antigen-specific defect in
the function of suppressor (regulatory) cell. In the thyroid gland autoimmune
disease the suppressor cells are activated worse by an appropriate antigen, but
they preserve the ability for the normal activation by the other antigen,
normally suppressor cells’ reaction to both antigens is indistinguishable. The
presented disorder, as such, isn’t enough for the autoimmune disease induction.
In this case, there is a necessity in the additional adverse influences of the
outside environment on the immune system. Such influences reduce the total
activity of the regulatory cells, and this reduction has an impact on the
genetic-associated dysfunction of the specific T-suppressors [1].
Another extrinsic
factor, affecting the natural development of the immunologic thyroiditis is
iodine intake. Much evidence points to the adverse influence of the iodine on
the thyroid gland function and the antibody level in humans with an apparent
and hidden autoimmune thyroid gland disease. As for the sensitive people,
iodine may provoke an acute development of the hypothyroid [2]. At least two
mechanisms may account for the effect of iodine, they are Tg immunogenicity and
inhibition of the iodine conversion into organic. Thyroiditis - inflammatory
diseases that occur in the intact thyroid gland. The development of
inflammation in the goiter modified thyroid gland is called strumitis. Etiology
and pathogenesis of these diseases are not fully discovered; typically the
cause of thyroiditis is an acute and confirmed infection with a different
primary site. In the first place there are various inflammations of
nasopharyngeal region (sore throat, influenza, carious teeth, etc.)[3].
Acute thyroiditis
refers to a rare thyroid gland disorder. The reason of its emergence is acute
and long-lasting inflammatory diseases beyond the thyroid gland (tonsillitis,
pneumonia, osteomyelitis, erysipelatous inflammation, furunculosis, scarlet
fever, staphylomycosis and streptococcemia and other). Infection goes to the
thyroid gland with blood or lymphoma from the inflammatory areas. Diffuse toxic
goiter (DTG) (Basedow's disease, Graves' disease) is found everywhere. The
disease is due to the hyper-incretion thyroid thyroxin and triiodothyronine,
and primarily characterized by changes in the cardiovascular and nervous
system. Primary iodine deficit in the diffuse toxic goiter is not diagnosed,
the ethiology of the disease is not defined. The disease provokes acute and
confirmed infections (influenza, tonsillitis, rheumatism, acute and
long-lasting tonsillitis, tuberculosis and other), hypothalamic-pituitary axis
disease, pregnancy, iodine intake in large dozes [4].
Recent researches
have demonstrated that patients with thyrotropine diffuse toxic goiter have
normal or even lower consentration in the pituitary body and blood. It’s
suggested that the main role in the disease process play: the long-acting
thyroid stimulator, occurring in the thymus gland and lymphocytes, the
violation in the immunologic process, and also the sensibility elevation of the
adrenergic receptors to catecholamines [5].
In the development
of the thyrotoxicosis clinical findings the great importance is either attached
to the sympathetic nervous impulses, coming in the theroid glang through its
sympathetic nervous. It is believed that the sympathetic nervous impulses of
the thyroid gland increase the thyroid hormone appearance and production. The
preponderance of the more active triiodothyronine hormone is true to form over
the less active tetraiodiothyronine hormone [5].
There is,
apparently, an important role in the disease process, also belonging to the
tissular diiodase. The enhancement of the latter promotes the thyroid hormone
tissure action. There is a strong probability that a certain role in the
disease process belongs to the thyroid hormone dysmetabolism in the peripheral
tissues - liver, kidneys and muscles. This results in a formation and rather
quick decomposition of such active metabolites as the triiodothyroacetic acid,
etc.
The inhibition of
the conversion from carbohydrate
into fat, as well as the inhibition of the hyposensitive sympatic nerve
terminals in the fatty tissue to the adrenaline action happen under the
influence of the thyroid hormone excessive production. This leads, together
with low glycogen content in the liver, to the increased fat mobilization from
its storage and the patient’s loss weight. The thyroid hormone excess leads to
a water-salt metabolism disorder; this is evidenced by the increase of water
displacement, sodium chloride, calcium, phosphorus and kalium to a lesser
extent, the content of the linked magnesium increases in blood serum [3].
According to M.I. Balabonkin,
P.S. Vetshev, E.A. Valdina [3,4,5] the goitre pathology is marked by three
morthological forms: diffuse, junctional and mixed. Microscopically, these
forms are characterized by significant heterogeneity. Thyroid gland pathology
caused by toxic goiter is defined by the follicular gland polymorphism, its
lumina mutation, hypertrophy and hyperplasia of the follicular epithelium
cells, assuming a spool-shaped form and constituting the papillomatous
proliferation in the follicular gland lumina. Dispersoid is liquid, low eosinophilic. Blood vessels are congested. Lymphocyte
aggregates with a lymphatic follicle build-up are found in the connective tissue. In some cases the
hyperplasia is noticed in the thymus
gland, amygdaloid bodies and lymph glands.
It
is, sometimes, diagnosed the adrenal hypoplasia case with a reduction in cortex
to the complete atrophy of the latter. In a number of instances, ‘thyrotoxic
encephalopathy’ is discovered and often accompanied
by the dystrophic changes of nerve cells in the tween-brain and olivary nuclei. The main consequence of the iodine
deficiency in the environment is the development of goiter among people living
in iodine deficiency regions (endemic goiter). In this regard, it has long been
assumed that goiter is the only manifestation of this state. It is proved that,
in addition to goiter, the iodine deficiency has other negative effects on
human health and animals. Insufficient iodine intake in the body results the
hypothyroidism, reflecting a slowing of the metabolism and, primarily,
oxidation processes; the basal metabolism increase and body temperature [6]. In
1983, the term ‘endemic goiter’ was replaced by ‘Iodine Deficiency Disorder’
(IDD). These diseases are caused by the decrease of the thyroid gland
functional activity in response to iodine deficiency. The defect in the iodine
diets is the main cause of goiter among animals, which leads to the reduction
of oxidation processes and nitrogen metabolism, and also enhances the
adipopexia. Iodine deficiency in adult animals is marked by a failure in the
sexual cycles, miscarriages, underdeveloped and puffy newborns. In some cases,
even a dead animal yield is born [3]. Hypothyroidism may arise as a result of
the goitrogenic agent actions, which cause a violation of the thyroid hormone
synthesis and correspondingly increased production of TSH, leading to the
thyroid compensatory hypertrophy that depends on the goitrogen dose and iodine
level, entering the body. It is known that iodine is a necessary component of
the thyroid hormone synthesis. So, thyroxine (T4) 65% and triiodothyronine (T3)
59% consist of iodine. Consequently, the deficit of iodine is accompanied by
decrease of the thyroid hormone level, i.e. the decrease of the thyroid gland
functional activity.
List of used information resources:
1. Volpe R. Autoimmune
diseases of the thyroid gland //Thyroid gland diseases. English translation /
Under the editorship of L.I. Braverman. - Ì.: Medicine,
2000.-P. 140-173.
2. Volpe R. Autoimmune
diseases of the endocrine system /R.Volpe //CRC, Boca Raton. 1990. P. 1-364.
3. Valdina E.A.
Diseases of the thyroid /Å.À.Valdinf. – 2 ed. SPB.: Petersburg, 2001.-416 p.
4. Hamitova A.M.
Hypothyrosis and its preventive care /À.Ì.Hamitova, À.N.Yunusova. -
Kazan, 1979. - 80 p.
5.
Balabolkin Ì.I. Differential
diagnostics and treatment of endocrinopathy: Guidebook / M.I.Balabolkin, Å.I.Êlebanova, V.Ì.Kremneskaya. — Ì.: Ìedicine, 2002. - P. 185 - 344.
6. Àlyoshin B.V. Hypothalamus and thyroid gland
/B.V.Alyoshin, V.I.Gubitskiy. - Ì.: Medicine, 1983.
- 184 p.